| NPI | 1063733103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0001465) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 51702) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2018-03-17 |